Type II diabetes mellitus
CASE STUDY continued
Bruce’s friend Greg has been trying to support him throughout his journey. Greg is a 42-year-old IT- specialist, who suffers from Type II diabetes mellitus, which has been under control using an oral anti-hyperglycaemic medication and a reasonably healthy diet. Rather disturbingly, however, Greg has been experiencing numbness and some awkward tingling in his left foot recently.
Question 5
Assuming that Greg’s present symptoms are associated with his Type II diabetes mellitus, explain the link between:
Type II diabetes mellitus and Greg’s peripheral neuropathy (2 marks), and
peripheral neuropathy and the potential for formation of leg ulcers (2 marks)
Question 6
Although Greg takes an oral anti-hyperglycaemic medication, in the later stages of his condition, he may need to take insulin as well. Explain why insulin administration would be recommended in his case.
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